2nd International Conference on Surgery and Anesthesia

Children with MCDK are being now diagnosed antenatally with an estimated incidence of 1:4300 live births. In absence of
complications, they are increasingly managed conservatively; but because of the long term risk of hypertension; even after
involution, they are also followed-up throughout child hood. Current literature showed that the risk of hypertension does not
justify routine nephrectomy but surgery is still proposed as the treatment of choice for UMCDK because of potential complication
of hypertension, infection and malignant changes. In two antenatally diagnosed children with UMCDK, we experienced that
early surgery may cure the hypertension. These two children diagnosed to develop hypertension within 4 months of age. One
child was operated within month of diagnosis of hypertension and fully cured having normal blood pressure in last one year of
follow-up. Other child was initially managed by antihypertensive drugs and latter at 2 year of age, surgery was performed. In the
last 6 months, her blood pressure is still high but needs lesser doses of antihypertensive drugs to control her blood pressure. In
conclusion, nephrectomy is better option to manage the hypertension in UMCDK when performed early; especially in countries
where regular follow-up is difficult.

Biography

Basant Kumar has completed his M.S (General Surgery) from King George Medical University, Lucknow, India in 2005 and M.Ch (Pediatric Surgery)
from Sir Padampat Mother & child Health Institute, S.M.S. Medical College, Jaipur, Rajasthan, India in 2008. He is working as Associate Professor
in the department of Pediatric Surgery; Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India. He has published more than 20
papers in reputed journals and has been serving as Executive member of State association of pediatric surgeons.